Hello Kittee 0 Posted August 16, 2007 The doctor I was planning to use and saw for consult and who just filed for surgery approval isn't on my preferred provider Aetna PPO plan anymore! They were 8 months ago but no longer. Only when I emailed to ask was this revealed!! So now, if approved I will have to pay for over 50% out of pocket or find another Doctor who is on the Aetna IN-NETWORK preferred provider list. I called Aetna to ask for a list of names and they were NOT helpful. Told me doctors prefer to not be labeled with that title (lap band surgeon) and suggested I do my own research. HUH!?!?!?! Anyone here know of a good caring Lap Band doctor in the Houston/Beaumont/Galveston/southeast texas area that is IN-NETWORK for Aetna PPO???? I can't believe they left me hanging out to dry like this.... Any advice is much appreciated as my tears my drown me. :think Share this post Link to post Share on other sites
Hello Kittee 0 Posted August 16, 2007 my= might sorry for the typo Share this post Link to post Share on other sites
wendy645 1 Posted August 16, 2007 Maybe I'm just starstruck but have you called the Methodist hospital in... Houston I think it is? That Big Medicine is filmed at? Share this post Link to post Share on other sites
Conroe53 0 Posted August 16, 2007 Have you tried to go to the Aetna website and look there? Another suggestion is to call back several times during the day and evening. You should get a different person each time and maybe get someone to give you a name. I just talked to the Doctor that I went to for my Lapband and was told that they take Aetna. They did say to read your policy very carefully to understand what exclusions are in it. My Doctor is Dr. Leggett and the phone # is 281-580-6797 and his website is here. http://www.drleggett.com/ He is located in North Houston. Good luck to you. Share this post Link to post Share on other sites
tanderson 3 Posted August 21, 2007 Anyone here know of a good caring Lap Band doctor in the Houston/Beaumont/Galveston/southeast texas area that is IN-NETWORK for Aetna PPO???? Any advice is much appreciated as my tears my drown me. :mad: :think awww...sorry about the run around you're getting. I don't know if he is on your Aetna plan, but my surgeon, Dr. Adam Naaman is totally the bomb! The ENTIRE experience was effortless and wonderful! Here is a line to his website... Doctor Adam Naaman - Houston Laparoscopic Surgery and General Surgery Share this post Link to post Share on other sites
Hello Kittee 0 Posted August 23, 2007 Ok my hubby got his approval today from the insurance company but they are holding up mine since the doctor I saw in 2004 retired and I can't get my records!! Sheesh!!! So we have one approval and no doctor!!! Anyone heard of a Dr. Chung???? Share this post Link to post Share on other sites
vallin 0 Posted August 23, 2007 Hello kittee I have Aetna and I just had surgery with Dr. John Marsden In the DFW Area. He is the best in my books.< /p> Share this post Link to post Share on other sites
Hello Kittee 0 Posted August 29, 2007 OK!! WE both got our approval's from the insurance company!! 1 more visit to our new Doctor and onto the surgery schedule we go!!! Thanks for the info and support!! ((((hugs))) Share this post Link to post Share on other sites
Gean 0 Posted August 31, 2007 I just spoke to Aetna PPO today to request preauthorization for using the group in Austin Texas that is out of network, to be covered as a participating provider (in-network)..I spoke to the "Care Coordination" folks and they were VERY helpful. Got info from me and they opened a case # for me as my request for a non-participating referral. She said a nurse or case manager would be in touch with me and also my Dr. THere are no "in-network" providers for Bariatric Surgery in the Austin area (within 50 miles of my house), so Aetna is obligated to give me the in-network rates when there is just simply NOT a participating provider close by..Hope this helps? Gean Share this post Link to post Share on other sites